Evidence map›Paper›PMID 36893514›Full record

Trial reportAddictive behaviors2023

Treatment adherence in a smoking cessation clinical trial for individuals with current or past major depressive disorder: Predictors and association with cessation.

Robert Schnoll, Gabrielle M Barrila, ShelDan Dalsimer, Mackenzie Hosie Quinn, Anna-Marika Bauer, Erica Fox, Matthew Olonoff, Nancy C Jao, Frank Leone, Mark D Huffman and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Robert SchnollDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, United States. Electronic address: schnoll@pennmedicine.upenn.edu.
Gabrielle M BarrilaDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, United States.
ShelDan DalsimerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, United States.
Mackenzie Hosie QuinnDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, United States.
Anna-Marika BauerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, United States.
Erica FoxDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States.
Matthew OlonoffDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States.
Nancy C JaoDepartment of Psychology, Rosalind Franklin University of Medicine and Science, United States.
Frank LeonePulmonary, Allergy, & Critical Care Division, University of Pennsylvania, United States.
Mark D HuffmanDepartment of Medicine, Washington University School of Medicine in St. Louis, United States.
Sadiya S KhanDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States.
Jacqueline K GollanDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, United States.
George D PapandonatosDepartment of Biostatistics and Center for Statistical Sciences, Brown University School of Public Health, United States.
Brian HitsmanDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States.
University of Pennsylvania · USNorthwestern University · USBrown University · USRosalind Franklin University of Medicine and Science · USWashington University in St. Louis · US

Funding

Behavioral Activation and Varenicline for Smoking Cessation in Depressed SmokersR01CA184211 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HITSMAN, BRIAN L · 2014 to 2018
$3.2M
A Patient-Oriented Research Mentoring Program in Tobacco Dependence ResearchK24DA045244 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI Robert Adam Schnoll · 2018 to 2026
$1.7M
Effect of Menthol to Non-Menthol Cigarette Switching on Subclinical Inflammatory Biomarkers of Cardiovascular Health: Simulating a Menthol Cigarette BanK01HL164670 · NHLBI · ROSALIND FRANKLIN UNIV OF MEDICINE & SCI · PI Nancy Chia Lei Jao · 2022 to 2026
$889k
NCI NIH HHS R01 CA184211NIDA NIH HHS K24 DA045244
6 · The paper itself

Abstract

introductionIndividuals with major depressive disorder (MDD) exhibit high rates of tobacco use and lower responsiveness to tobacco cessation treatments. Treatment adherence is a strong predictor of treatment outcomes in the general population but has not been evaluated in this under-served community of smokers with MDD.

methodsWe used data from a randomized clinical trial on smoking cessation treatment among 300 smokers with MDD to examine the rate of adherence (medication and counseling), the association of adherence with cessation outcomes, and factors associated with adherence, including demographic and smoking characteristics, psychiatric characteristics, smoking cessation processes (e.g., withdrawal, reinforcers), and treatment-related side effects (e.g., nausea).

resultsOverall, 43.7% of participants were adherent with medication and 63.0% were adherent with counseling. Medication adherence was significantly associated with cessation, with 32.1% of adherent vs. 13.0% of non-adherent participants quitting smoking at EOT. Counseling adherence was also significantly associated with cessation, with 32.3% of adherent vs. 2.7% of non-adherent participants quitting smoking. Multivariate regression models showed that medication adherence was associated with higher engagement in complementary reinforcers and higher baseline smoking reward, while counseling adherence was associated with identifying as female, lower alcohol use and nicotine dependence, higher baseline smoking reward, and higher engagement in substitute and complementary reinforcers within the first weeks of medication use.

conclusionsAs with the general population of smokers, non-adherence to treatment in smokers experiencing depression is widespread and a significant barrier to cessation. Interventions that target reinforcers may improve rates of treatment adherence.

Indexed as

Major Depressive DisorderSmoking CessationTobacco Use DisorderCounselingFemaleHumansMedication AdherenceSmokingTreatment Adherence and ComplianceAdherenceMajor depressive disorderReinforcersSmoking

Identifiers

PMID36893514
PMCPMC10122701
OpenAlexW4323275290

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.